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1730516220
STEPHEN LAMARR SCOVILLE
SALT LAKE CITY, UT
NPI
1730516220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 7427208-4405)
Enumeration Date
2013-09-30
Last Update Date
2020-04-07
Business Address
STEPHEN LAMARR SCOVILLE APRN
5788 S WATERBURY WAY UNIT B
SALT LAKE CITY, UT 84121-1141
Phone number: 801-662-9098
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Mailing Address
STEPHEN LAMARR SCOVILLE APRN
1115 S 900 E
SALT LAKE CITY, UT 84105-1323
Phone number: 801-662-9098
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